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Symptomatic outcome following clam ileocystoplasty
J D Kelly1, R M Kernohan, P F Keane
1Department of Urology, Belfast City Hospital, Northern Ireland.
European Urology
|January 1, 1997
Summary
Clam ileocystoplasty (CI) improved outcomes for many patients, but careful selection is key. Patient satisfaction was high, though some experienced voiding dysfunction.
Area of Science:
- Urology
- Surgical outcomes
- Patient-reported outcomes
Background:
- Clam ileocystoplasty (CI) is a surgical option for bladder augmentation.
- Assessing outcomes requires both objective measures and patient perception.
- Quality of life is a critical aspect of treatment success.
Purpose of the Study:
- To evaluate the outcomes of clam ileocystoplasty (CI).
- To assess patient satisfaction and quality of life post-CI.
- To analyze objective results using validated scoring systems.
Main Methods:
- 27 patients (15 male, 12 female) underwent CI between 1989-1994.
- Median age was 41 years; CI was performed after failed medical treatment.
- Mean follow-up was 18 months.
Main Results:
- Objective cure rate was 61%.
- 72% of patients reported subjective symptom improvement; 12.5% worsened.
- 75% experienced improved quality of life; 12.5% worsened.
- Voiding dysfunction reported by 56% (minor), 25% (moderate), 19% (severe).
Conclusions:
- CI provided satisfactory outcomes for many patients, but not all.
- Young females with detrusor instability were more likely to have poor outcomes.
- Careful patient selection and pre-operative counseling are recommended to improve success rates.